Evidence map›Paper›PMID 32904266›Full record

ArticleInternational journal of cardiology. Heart & vasculature2020

Patterns of emergency department utilization for LVAD patients compared with non-LVAD patients.

Mohammad Al-Ani, Sarah S Gul, Abhishek Khatri, Muhammad Abdul Baker Chowdhury, Matthew Drabin, Travis Murphy, Brandon Allen, Juan M Aranda, Juan Vilaro, Eric I Jeng and 4 more

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Article in International journal of cardiology. Heart & vasculature, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

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5 · Who and what money

Authors and funding

14 authors.

Mohammad Al-AniDivision of Cardiovascular Medicine, University of Florida, Gainesville, FL, United States.
Sarah S GulDepartment of Surgery, Baystate Medical Center, University of Massachusetts Medical School, Springfield, MA, United States.
Abhishek KhatriDivision of Cardiovascular Medicine, University of Florida, Gainesville, FL, United States.
Muhammad Abdul Baker ChowdhuryDepartment of Emergency Medicine, University of Florida, Gainesville, FL, United States.
Matthew DrabinDepartment of Emergency Medicine, University of Florida, Gainesville, FL, United States.
Travis MurphyDepartment of Emergency Medicine, University of Florida, Gainesville, FL, United States.
Brandon AllenDepartment of Emergency Medicine, University of Florida, Gainesville, FL, United States.
Juan M ArandaDivision of Cardiovascular Medicine, University of Florida, Gainesville, FL, United States.
Juan VilaroDivision of Cardiovascular Medicine, University of Florida, Gainesville, FL, United States.
Eric I JengDivision of Thoracic and Cardiovascular Surgery, University of Florida, Gainesville, FL, United States.
George J ArnaoutakisDivision of Thoracic and Cardiovascular Surgery, University of Florida, Gainesville, FL, United States.
Alex M ParkerDivision of Cardiovascular Medicine, University of Florida, Gainesville, FL, United States.
Lauren E MeeceDivision of Cardiovascular Medicine, University of Florida, Gainesville, FL, United States.
Mustafa M AhmedDivision of Cardiovascular Medicine, University of Florida, Gainesville, FL, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeft ventricular assist device (LVAD) patients are vulnerable to over-utilization of resources. METHODS AND

resultsWe explored the pattern of emergency department (ED) presentations of LVAD patients and their costs compared with non-LVAD heart failure patients. ED visits between 7/2008 and 7/2017 were reviewed to identify 145 LVAD patients, and 435 patients with known heart failure were selected using propensity score matching for age and sex. ED evaluation metrics, hospitalization cost, and length of stay (LOS) were analyzed. Although the most common ED presentations and their frequency differed between groups, few were LVAD specific. LVAD patients were more likely to have taken personal vehicles or be flown to the ED. They had similar times to triage, rooming, and physician evaluation compared with non-LVAD patients. However, LVAD patients were noted to have a shorter time from physician assessment to disposition (109.8 min vs. 177.0 min, p < 0.001) and, overall, LVAD patients had shorter ED LOS (6.33 vs. 9.82 hrs, p = 0.0001). For patients admitted, no significant difference was found between groups in hospital LOS (6.67 vs 6.58 days, p = 0.928) or total cost ($28,766 vs $21,524, p = 0.087).

conclusionShorter disposition times without increases in LOS or costs may identify a created healthcare disparity among LVAD patients.

Indexed as

CostHealthcare utilizationHeart failureHospitalizationLeft ventricular assist device

Identifiers

PMID32904266
PMCPMC7452580

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